TY - JOUR
T1 - Endoscopic Balloon Dilation for Ulcer‐induced Gastric Outlet Obstruction
AU - DiSario, James A.
AU - Fennerty, M. Brian
AU - Tietze, Christopher C.
AU - Hutson, William R.
AU - Burt, Randall W.
PY - 1994/6
Y1 - 1994/6
N2 - Objective: To determine the safety and efficacy of endoscopic balloon dilation for ulcer‐induced gastric outlet strictures. Methods: Review of the cumulative experience from two institutions involving 30 patients who underwent endoscopic balloon dilation for peptic ulcer‐induced gastric outlet obstruction. Follow‐up was by standardized interview at a mean of 15 months (range 4–28 months). Results: Symptoms occurred for an average of 6 months before dilation and included weight loss, epigastric pain, nausea, vomiting, early satiety, bloating, and anorexia. Gastric outlet strictures had a median diameter of 6 mm (range, 0–10 mm). Ten (33%) patients had active ulcers. Six‐millimeter to 18‐mm (median 15‐mm) balloons were inflated a median of 2 times (range 1–4 times) for a median of 60 s (range 30–180 s). Fifty‐one procedures (1.7/patient) were performed; 20 (67%) patients had one treatment and 10 (33%) had multiple treatments. Twenty‐four (80%) patients achieved sustained symptom relief, 17 of 20 having a single procedure and 7 of 10 required multiple sessions. Dilation failed in 4 (13%) patients with long duodenal strictures. Two (6.7%) patients dilated to 18 mm suffered perforation. Both recovered uneventfully after surgery. Conclusions: Endoscopic balloon dilation is safe and effective for most patients with ulcer‐induced gastric outlet obstruction.
AB - Objective: To determine the safety and efficacy of endoscopic balloon dilation for ulcer‐induced gastric outlet strictures. Methods: Review of the cumulative experience from two institutions involving 30 patients who underwent endoscopic balloon dilation for peptic ulcer‐induced gastric outlet obstruction. Follow‐up was by standardized interview at a mean of 15 months (range 4–28 months). Results: Symptoms occurred for an average of 6 months before dilation and included weight loss, epigastric pain, nausea, vomiting, early satiety, bloating, and anorexia. Gastric outlet strictures had a median diameter of 6 mm (range, 0–10 mm). Ten (33%) patients had active ulcers. Six‐millimeter to 18‐mm (median 15‐mm) balloons were inflated a median of 2 times (range 1–4 times) for a median of 60 s (range 30–180 s). Fifty‐one procedures (1.7/patient) were performed; 20 (67%) patients had one treatment and 10 (33%) had multiple treatments. Twenty‐four (80%) patients achieved sustained symptom relief, 17 of 20 having a single procedure and 7 of 10 required multiple sessions. Dilation failed in 4 (13%) patients with long duodenal strictures. Two (6.7%) patients dilated to 18 mm suffered perforation. Both recovered uneventfully after surgery. Conclusions: Endoscopic balloon dilation is safe and effective for most patients with ulcer‐induced gastric outlet obstruction.
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U2 - 10.1111/j.1572-0241.1994.tb03172.x
DO - 10.1111/j.1572-0241.1994.tb03172.x
M3 - Article
C2 - 8198096
AN - SCOPUS:0028200531
SN - 0002-9270
VL - 89
SP - 868
EP - 871
JO - The American journal of gastroenterology
JF - The American journal of gastroenterology
IS - 6
ER -